Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Evaluation of Malocclusion Traits Associated with Ankyloglossia: A Pilot Study


Affiliations
1 Department of Orthodontics and Dentofacial Orthopaedics, Rungta College Of Dental Science and Research, Bhilai, Chhattisgarh, India
     

   Subscribe/Renew Journal


Context: Although the role of ankyloglossia as an etiologic factor in the development of the malocclusion is well established, the guidelines for its clinical examination are still not clear especially in adult subjects. Aim: The aim of the study was to evaluate dento-skeletal characteristics in patients with ankyloglossia and to correlate ankyloglossia with various malocclusion traits. Settings and Design: Descriptive cross-sectional study. Materials and Methods: Fifty patients were divided into two groups using Kotlow’s method: without ankyloglossia (group WA) and ankyloglossia (group A). Five skeletal characteristics- SNA, SNB, ANB, GoGn-SN and five dental characteristics - Class of malocclusion, crowding, spacing, overjet and overbite were assessed. Statistical analysis used: Independent t test was used to compare skeletal and dental characteristics between group WA and A. Pearson correlation coefficient was used to determine interrelationship between ankyloglossia and skeletal and dental characteristics. The level of significance was set at .05. Results: There were statistically significant differences between group WA and group A with respect to SNA, SNB and overjet (P<0.05). Also, a significant positive correlation was seen between ankyloglossia and Class of malocclusion. (r=0.501, P<0.05). Conclusions: This study suggests patients with ankyloglossia have increased overjet with more retrognathic maxilla and mandible as compared to patients without ankyloglossia.

Keywords

Ankyloglossia, Kotlow’s Method, Maloccusion
User
Subscription Login to verify subscription
Notifications
Font Size

  • Olivi G, Signore A, Olivi M, Genovese MD. Lingual frenectomy: Functional evaluation and new therapeutical approach. Eur J Dent. 2012;13:101–106.
  • Northcutt ME. The lingual frenum. J Clin Orthod. 2009;43(9):557–655. PMid:19904047
  • Segan LM, Stephenson S, Dawes M. Feldman. Prevalence, diagnosis, and treatment of ankyloglossia. Methodologic review. Can Fam Physician. 2007;53:1027–1033.
  • Kloars T. Familial ankyloglossia (tongue tie). Int J Pediatr Otorhinolaryng. 2007;71:1321–1324. https://doi.org/10.1016/j.ijporl.2007.05.018. PMid:17588677
  • Jang SJ, Cha BK, Ngan P, Choi DS, Lee SK, Jang I. Relationship between the lingual frenulum and craniofacial morphology in adults. Am J Dentofacial Orthop. 2011;139:e361–e367. https://doi.org/10.1016/j.ajodo.2009.07.017. PMid:21435544
  • Defabianis P. Ankyloglossia and its influence on maxillary and mandibular development. (A seven year follow-up case report). Funct Orthod 2000;17:25–33. PMid:11307269
  • Meenakshi S, Jagannathan N. Assessment of lingual frenulum lengths in skeletal malocclusion. J Clin Diagn Res. 2014;8:202–204. PMid:24783137. PMCid:PMC4003643
  • Kotlow LA. Ankyloglossia (tongue-tie): A diagnostic and treatment quandary. Quintessence Int. 1999;30(4):259–262. PMid:10635253
  • Kotlow LA. Oral diagnosis of oral frenum attachments in neonates and infants: Evaluation and treatment of the maxillary and lingual frenum using the Erbium: YAG laser. Journal Pediatric Dental Care. 2004;10(3):11–13.
  • Srinivasan B, Chitharanjan AB. Skeletal and dental characteristics in subjects with ankyloglossia. Prog Orthod. 2013;14:1–7. https://doi.org/10.1186/2196-1042-14-44. PMid:24326143. PMCid:PMC4384905
  • Moss ML, Rankow RM. The role of the functional matrix in mandibular growth. Angle Orthod. 1968;38:95–103. PMid:5239131
  • Pompéiaa LE, Ilinskya RS, Ortolania CL, Júnior KF. Ankyloglossia and its influence on growth and development of the stomatognathic system. Rev Paul Pediatr. 2017;35(2):216–221
  • Proffit WR. Equilibrium theory revisited: factors influencing position of the teeth. Angle Orthod. 1978;48:175–186. PMid:280125
  • Fletcher SG, Meldrum JR. Lingual function and relative length of the lingual frenulum. J Speech Hear Res. 1968;11:382–390. https://doi.org/10.1044/jshr.1102.382
  • Sepet E, Yildiz C, Erdem AP, Ikikarakayali G, Gorken FN, Kuru S. Relationship between mandibular incisor irregularity and type of occlusion in ankyloglossia. Oral Health Prev Dent. 2015;13:59–63. PMid:24914432

Abstract Views: 133

PDF Views: 0




  • Evaluation of Malocclusion Traits Associated with Ankyloglossia: A Pilot Study

Abstract Views: 133  |  PDF Views: 0

Authors

Javed Sodawala
Department of Orthodontics and Dentofacial Orthopaedics, Rungta College Of Dental Science and Research, Bhilai, Chhattisgarh, India
Surbhi Sharad Agrawal
Department of Orthodontics and Dentofacial Orthopaedics, Rungta College Of Dental Science and Research, Bhilai, Chhattisgarh, India
Sumit Gandhi
Department of Orthodontics and Dentofacial Orthopaedics, Rungta College Of Dental Science and Research, Bhilai, Chhattisgarh, India
Shaheen Hamdani
Department of Orthodontics and Dentofacial Orthopaedics, Rungta College Of Dental Science and Research, Bhilai, Chhattisgarh, India
Shabana Nazmeen
Department of Orthodontics and Dentofacial Orthopaedics, Rungta College Of Dental Science and Research, Bhilai, Chhattisgarh, India

Abstract


Context: Although the role of ankyloglossia as an etiologic factor in the development of the malocclusion is well established, the guidelines for its clinical examination are still not clear especially in adult subjects. Aim: The aim of the study was to evaluate dento-skeletal characteristics in patients with ankyloglossia and to correlate ankyloglossia with various malocclusion traits. Settings and Design: Descriptive cross-sectional study. Materials and Methods: Fifty patients were divided into two groups using Kotlow’s method: without ankyloglossia (group WA) and ankyloglossia (group A). Five skeletal characteristics- SNA, SNB, ANB, GoGn-SN and five dental characteristics - Class of malocclusion, crowding, spacing, overjet and overbite were assessed. Statistical analysis used: Independent t test was used to compare skeletal and dental characteristics between group WA and A. Pearson correlation coefficient was used to determine interrelationship between ankyloglossia and skeletal and dental characteristics. The level of significance was set at .05. Results: There were statistically significant differences between group WA and group A with respect to SNA, SNB and overjet (P<0.05). Also, a significant positive correlation was seen between ankyloglossia and Class of malocclusion. (r=0.501, P<0.05). Conclusions: This study suggests patients with ankyloglossia have increased overjet with more retrognathic maxilla and mandible as compared to patients without ankyloglossia.

Keywords


Ankyloglossia, Kotlow’s Method, Maloccusion

References





DOI: https://doi.org/10.18311/jpfa%2F2018%2F21454